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Accelerating Transformation Through Policy and Technology
Session ID: 115 , February 13, 2019
Adrian Byrne, CIO, University Hospital Southampton NHS Foundation Trust
Mark Heaney, Chief Strategist & Founding Partner, Get Real Health
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Adrian Byrne, CIO, University Hospital Southampton NHS
Foundation Trust
Mark Heaney, Chief Strategist & Founding Partner, Get Real Health
Has no real or apparent conflicts of interest to report.
Conflict of Interest
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• Discuss how governmental support can accelerate the sharing of
health IT innovation
• Explain the value of multiple organizations sharing a single open
data and development platform
• Demonstrate, with real-world experiences, how patient-facing
tools can reduce outpatient appointments and improve clinical
efficiencies
• Propose policy and technology improvements that encourage
solution dissemination between organizations
Learning Objectives
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Introductions
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Dispatch from the UK
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7
13%
62%
26%
21.3%
57.2%
26%
36.7%
54%
17.7%
2017
2050 2100
UK Demographic Trends
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Something has to change!
Locked in App Online aggregator Access to EMR
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One Piece of the Puzzle:
Propagating Transformation
through NHS Global Digital
Exemplars
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• Around 16 high scoring digital
maturity trust (acute)
• Aim to be at HIMSS L6/7 in
four years
• Highly integrated health
systems
• Showcase for the NHS
• Up to £10 m for each
• Fast followers ( £5 m each)
The NHS GDE Program
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• National Program
• Integrator
• Pioneer
GDE
Why UHS?
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Transformation Technology: A
Shared and Open Data and
Development Platform
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External Providers NHS Apps
FHIR API
Local Store
Clinical Data Repo
The Future
Open EHR
API
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Tethered and
Unintegrated Product
Integrated Product
Untethered and
Unintegrated Product
Clinical
Record
Increasing
Value
(Outcome / Cost)
Citizen
Record
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The Patient Experience
Untethered portals provide patients with a better experience when they can log in to view all their health
information in one place
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Transformation in Action
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Patient-Facing Tools Improving
Clinical Efficiencies
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Open Platform
PHR
Front End
Applications
+
Health & Care
Organizations
Open APIs
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Timeline of @MyMedRec
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Adrian to
update with
new numbers
Adrian to
update with
new numbers
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Condition
Specific Tools
and Information
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Connecting Devices
List of
available
devices
and apps
patient can
connect to
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Benefits
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Patient Results
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“I was invited to use My Medical Record and asked to weigh
myself using the digital scales once a week. As I was going
through a rough patch it was good to know that there were
people keeping an eye on how I was doing. If my weight
went down too low then I would automatically get contacted
by a member of the clinical team.
I also used the messaging function in the system. It is
comforting to have a simple way of telling people you are not
feeling well”
– IBD patient
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For Clinicians
More
effective
Faster
recalls
Safety net
New roles
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Meanwhile, back in the USA…
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Problem: Care management is
broken
15 Minutes LaterDay One
One Week
Later
Two Weeks
Later
Three Weeks
Later
One Month Later
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Policy Intervention: Simply Pay
for Care Management
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Technology Solution
Ongoing
two way
messaging
Care managers
track patients’
health remotely
In real-time, care managers
reach out to patients in need
Patients receive
personalized care
plans
Patients have 24/7 access to
educational content
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Patients
Patients get the ongoing support they need to improve their health
outcomes
Care Managers
Care managers get back time and spend it providing better care
Practices
Practices become more efficient and get compensated appropriately for
their efforts
Hospitals
Hospitals can reduce readmissions and improve patient satisfaction
Potential Benefits
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For widespread interoperability,
FHIR is necessary but not
sufficient
Let’s Finish
the Job!
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Endpoint Directory
Problem: Data doesn’t do any good
if you can’t find it
How policy can make it happen:
• Incentivize or mandate
participation
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Centralized Trust Management
Problem: One-to-one explicit
trusts will never scale sufficiently
How policy can make it happen:
• Create certification program
• Support existing initiatives
• Incentivize participation
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Bring in Patient-Generated Data
Problem: Services and data
don’t do any good if you
can’t find them
How policy can make it
happen:
• Set standards
• Incentivize participation
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See it in Action:
http://bit.ly/2RX2iQp
Provider
Patient
Structured Care Plan Exchange
Problem: Care plans aren’t
helpful to those who can’t
share them
How policy can make it
happen:
• Support existing
standards
• Incentivize care plan
sharing
External
Systems
EMR/
Care Plan
Repository
Integration
Platform
Patient App
Additional Care Team Members
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Embrace the challenge!
We choose to go to the
moon... and do the other
things, not because they
are easy, but because
they are hard… because
that challenge is one that
we are willing to accept,
one we are unwilling to
postpone, and one which
we intend to win.
– John F. Kennedy. Sept. 12, 1962
